Romero-García Marta, Alcalà-Jimenez Isidro, Martínez-Momblan María Antonia, Cuzco Cecilia, Alonso Sergio, Benito-Aracil Llúcia, Delgado-Hito Pilar
Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain; GRIN-IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain; International Research Project for the Humanization of Health Care, Proyecto HU-CI. Collado Villalba, Madrid, Spain.
Hospital Vall D'Hebrón, Barcelona, Spain.
Aust Crit Care. 2023 Jul;36(4):550-557. doi: 10.1016/j.aucc.2022.03.012. Epub 2022 Apr 28.
Patient satisfaction with nursing care is an indicator of patient satisfaction with the hospital stay in general. The Nursing Intensive Care Satisfaction Scale is the only scale about patient satisfaction with nursing care received in an intensive care unit that incorporates the critically ill patient's perspective into its design and validation. We validated the scale nationally, incorporating intensive care units at public and private hospitals of different levels of complexity in Spain.
The objective of this study was to validate in Spanish intensive care units the Nursing Intensive Care Satisfaction Scale, a patient-centred questionnaire that evaluates recently discharged intensive care patients' satisfaction with the nursing care they received.
We used a psychometric quantitative methodology and a descriptive cross-sectional design.
The study was conducted in intensive care units at level II and III public and private hospitals throughout Spain. The study population was all patients discharged from intensive care units from December 2018 to December 2019 from the 19 participating hospitals. We used consecutive sampling until reaching a sample size of 677 patients. The assessment instruments were given to patients at discharge and 48 h later to measure temporal stability.
The validation process included the analysis of internal consistency (Cronbach's α coefficient), temporal stability (test-retest), construct validity through a confirmatory factor analysis, and criterion validity using the Pearson correlation coefficient and three criterion items that assessed similar constructs.
The reliability of the scale was 0.97, and the factors obtained values between 0.87 and 0.96. The intraclass correlation coefficient for the total scale was 0.83, indicating good temporal stability. Construct validity showed a good fit and a four-factor structure, in accordance with the theoretical model. Criterion validity presented a correlation that was between moderate and high (range: 0.46 to 0.57).
The Nursing Intensive Care Satisfaction Scale has good psychometric properties, demonstrating its ability to accurately measure patient satisfaction across a range of contexts in Spain. Continuous monitoring of satisfaction will allow nurses to identify areas for improvement that can increase the quality of care.
患者对护理的满意度是总体上患者对住院体验满意度的一个指标。《重症护理满意度量表》是唯一一项关于重症监护病房患者对所接受护理满意度的量表，该量表在设计和验证过程中纳入了重症患者的观点。我们在全国范围内对该量表进行了验证，纳入了西班牙不同复杂程度的公立和私立医院的重症监护病房。
本研究的目的是在西班牙的重症监护病房验证《重症护理满意度量表》，这是一份以患者为中心的问卷，用于评估近期出院的重症监护患者对所接受护理的满意度。
我们采用了心理测量定量方法和描述性横断面设计。
该研究在西班牙各地二级和三级公立及私立医院的重症监护病房进行。研究人群为2018年12月至2019年12月期间从19家参与研究的医院的重症监护病房出院的所有患者。我们采用连续抽样，直至达到677名患者的样本量。评估工具在患者出院时及48小时后发放，以测量时间稳定性。
验证过程包括分析内部一致性（克朗巴哈α系数）、时间稳定性（重测）、通过验证性因子分析进行结构效度分析，以及使用皮尔逊相关系数和三个评估相似结构的标准项目进行效标效度分析。
该量表的信度为0.97，各因子得分在0.87至0.96之间。总量表的组内相关系数为0.83，表明时间稳定性良好。结构效度显示拟合良好，呈现四因子结构，与理论模型一致。效标效度呈现中等至高的相关性（范围：0.46至0.57）。
《重症护理满意度量表》具有良好的心理测量特性，表明其能够在西班牙的一系列情况下准确测量患者满意度。持续监测满意度将使护士能够识别可提高护理质量的改进领域。
